CENTRAL DUPAGE SPECIAL HEALTH ASSN Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****99

License Status

CHANGE OF OWNERSHIP

Business

Business Name

CENTRAL DUPAGE SPECIAL HEALTH ASSN

Original Issue Date

06/07/2011

Effective Date

01/12/2018

Expiration Date

09/30/2020

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Specialty/Qualifier

RETAIL PHARMACY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/05/2018